Organization
THOMPSON MEDICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMPSON DZIDZA PA (PRESIDENT/OWNER)
(773) 271-9700
Entity
Organization
Contact information
Practice address
4564 N BROADWAY ST, CHICAGO, IL 60640-5602
(773) 271-9700
(773) 271-9700
Mailing address
4564 N BROADWAY ST, CHICAGO, IL 60640-5602
(773) 271-9700
(773) 271-9700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/10/2021
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